Individual provider · Type 1 NPI

Amanda Bennett, CPNP

Pediatric Nurse Practitioner · Lawrenceville, GA

NPI number 1750858056 Active

Practice location

2000 Riverside Pkwy Ste 207
Lawrenceville, GA 30043-5926

Call (678) 646-0404 Map

Fax (678) 646-0202

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN216022 (GA)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1750858056

Amanda Bennett, CPNP's National Provider Identifier is 1750858056, issued on Oct 25, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lawrenceville, GA. The record was last updated on Oct 25, 2018.